Stamp Duties Consolidation Act 1999 section 125A

Levy on authorised insurers

Section 125A imposes a stamp duty levy on authorised health insurers based on the number of insured persons covered under relevant private health insurance contracts, and sets out quarterly filing and payment obligations.

• Authorised insurers must file quarterly statements with Revenue showing the number of insured persons split by age band (under 18, 18 or over) and cover type (advanced, non-advanced).
• Stamp duty is charged at the specified rate per insured person, ranging from €41 to €406 depending on age and cover type, and is payable on delivery of the statement.
• The levy is not deductible for tax purposes but the insurer may recoup the cost from the policyholder, which is the familiar health insurance levy shown on policy documents.
• From 1 April 2027, where an insured person ceases cover within 12 months of the policy being taken out or renewed, the insurer may claim a pro-rata refund and must pass it back to the policyholder.